公开(公告)号：US07191002B1

公开(公告)日：2007-03-13

申请号：US10841105

申请日：2004-05-06

申请人： Mark Kroll ,  Eric S. Fain

发明人： Mark Kroll ,  Eric S. Fain

IPC分类号： A61N1/00

CPC分类号： A61N1/3622 ,  A61N1/3684

摘要： An improved method and device for performing anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. Pairs of pacing/sensing electrodes are placed in or on each of the left and right ventricles. Each pair of electrodes is shorted together to produce unipolar electrodes that are used for ATP.

摘要翻译： 用于进行抗心动过速起搏（ATP）以将室性心动过速（VT）转换为正常窦性心律的改进的方法和装置。 一对起搏/感应电极放置在左心室和右心室中的每一个中。 每对电极短路在一起，产生用于ATP的单极电极。

公开(公告)号：US06907286B1

公开(公告)日：2005-06-14

申请号：US10045495

申请日：2001-10-19

申请人： Mark Kroll ,  Eric S. Fain

发明人： Mark Kroll ,  Eric S. Fain

IPC分类号： A61N1/362

CPC分类号： A61N1/3622

摘要： Improved methods and devices perform anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. In one embodiment of the invention bi-ventricular (BV) ATP is employed. In this embodiment the right ventricle and left ventricle of a patient's heart are independently paced based on signals sensed in each chamber.

摘要翻译： 改进的方法和装置进行抗心动过速起搏（ATP）以将室性心动过速（VT）转换为正常窦性心律。 在本发明的一个实施方案中，采用双室（BV）ATP。 在该实施例中，患者心脏的右心室和左心室基于每个室中感测的信号而独立地起搏。

公开(公告)号：US06766196B1

公开(公告)日：2004-07-20

申请号：US10045494

申请日：2001-10-19

申请人： Mark Kroll ,  Eric S. Fain

发明人： Mark Kroll ,  Eric S. Fain

IPC分类号： A61N1368

CPC分类号： A61N1/3622

摘要： An improved method and device for performing anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. Pacing/sensing electrodes are implanted in or on the left and right ventricles of a patient's heart. After a VT is detected a determination is made based on the shape of the electrogram signal of the VT. One of a plurality of time offsets for pacing pulses of the left and right ventricles is selected based on the signal shape and ATP is performed by pacing both the left and right ventricles with the time offset between pulses in the respective ventricles.

摘要翻译： 用于进行抗心动过速起搏（ATP）以将室性心动过速（VT）转换为正常窦性心律的改进的方法和装置。 起搏/感应电极植入患者心脏的左心室或右心室内或上。 在检测到VT之后，基于VT的电描记信号的形状进行确定。 基于信号形状来选择用于左心室和右心室起搏脉冲的多个时间偏移中的一个，并且通过使所述左心室与右心室之间的时间偏移与各脑室中的脉冲之间的时间偏移来执行ATP。

公开(公告)号：US06754531B1

公开(公告)日：2004-06-22

申请号：US10045570

申请日：2001-10-19

申请人： Mark Kroll ,  Eric S. Fain

发明人： Mark Kroll ,  Eric S. Fain

IPC分类号： A61N136

CPC分类号： A61N1/3622 ,  A61N1/3684

摘要： An improved method and device for performing anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. Pairs of pacing/sensing electrodes are placed in or on each of the left and right ventricles. Each pair of electrodes is shorted together to produce unipolar electrodes that are used for ATP.

摘要翻译： 用于进行抗心动过速起搏（ATP）以将室性心动过速（VT）转换为正常窦性心律的改进的方法和装置。 一对起搏/感应电极放置在左心室和右心室中的每一个中。 每对电极短路在一起，产生用于ATP的单极电极。

公开(公告)号：US06731982B1

公开(公告)日：2004-05-04

申请号：US10067116

申请日：2001-10-19

申请人： Mark Kroll ,  Eric S. Fain

发明人： Mark Kroll ,  Eric S. Fain

IPC分类号： A61N1362

CPC分类号： A61N1/3686 ,  A61N1/36185 ,  A61N1/3622 ,  A61N1/3684

摘要： Improved methods and devices for performing anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. In one embodiment one of a plurality of pacing configurations are selected for performing ATP. The selection can be based on the morphology of a signal indicative of the tachycardia.

摘要翻译： 改善用于进行抗心动过速起搏（ATP）以将室性心动过速（VT）转换为正常窦性心律的方法和装置。 在一个实施例中，选择多个起搏配置之一用于执行ATP。 选择可以基于指示心动过速的信号的形态。

公开(公告)号：US06795731B1

公开(公告)日：2004-09-21

申请号：US10039734

申请日：2001-10-19

申请人： Mark Kroll ,  Eric S. Fain

发明人： Mark Kroll ,  Eric S. Fain

IPC分类号： A61N118

CPC分类号： A61N1/3622

摘要： A method and device for performing anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. Pairs of pacing/sensing electrodes are placed in or on each of the left and right ventricles. A determination is made whether a reentrant loop responsible for the VT is closer to one or the other of the pacing/sensing electrode pairs. ATP is performed with the pair of electrodes closest to the reentrant loop.

摘要翻译： 用于进行抗心动过速起搏（ATP）以将室性心动过速（VT）转换为正常窦性心律的方法和装置。 一对起搏/感应电极放置在左心室和右心室中的每一个中。 确定负责VT的可重入环是否更接近起搏/感测电极对中的一个或另一个。 使用最靠近折返环的一对电极执行ATP。

公开(公告)号：US07634313B1

公开(公告)日：2009-12-15

申请号：US11104382

申请日：2005-04-11

申请人： Mark W. Kroll ,  Eric S. Fain ,  Eric Falkenberg

发明人： Mark W. Kroll ,  Eric S. Fain ,  Eric Falkenberg

IPC分类号： A61N1/00

CPC分类号： A61N1/37288 ,  A61N1/3756

摘要： In one implementation, a failsafe method for implantable satellite pacemaker pacing is provided, which includes pacing with a satellite pacemaker and monitoring for a local pacing pulse with an other satellite pacemaker. This implementation further includes, pacing with a surrogate satellite pacemaker if the local pacing pulse is not detected by the other satellite pacemaker. Certain implementations may include transmitting a wireless signal from the other satellite pacemaker to a master pacemaker if the local pacing pulse is not detected by the other satellite pacemaker and using the master pacemaker to select the surrogate satellite pacemaker. Certain implementations may include monitoring for the local pacing pulse with a plurality of satellite and causing the plurality of satellite pacemakers to select the surrogate satellite pacemaker.

公开(公告)号：US5558098A

公开(公告)日：1996-09-24

申请号：US556790

申请日：1995-11-02

申请人： Eric S. Fain

发明人： Eric S. Fain

IPC分类号： A61B5/0245 ,  A61B5/0408 ,  A61B5/0402

CPC分类号： A61B5/0245 ,  A61B5/04085 ,  A61B5/7217 ,  Y10S128/901

摘要： An ICD system and method for its use which will detect the presence of sensing artifacts caused by lead conductor fracture, lead insulation failure or connector port fluid penetration. When such a failure results in an incorrect detection of a tachyarrhythmia, the presence of sensing artifacts or noise is noted and charging of high voltage capacitors and/or delivery of high voltage therapy is avoided. The system of the invention includes at least two pairs of sensing electrodes which provide two distinct electrogram signals to the sensing and analysis circuitry of a pulse generator. Each signal is analyzed for heart rate. The rates are compared and if the rates detected are significantly different therapy is not delivered to the patient. The sensing electrode pairs may include four independent electrodes or there may be one electrode in common with each sensing pair. In an alternative embodiment, the two signals are compared by performing a correlation analysis.

摘要翻译： 其使用的ICD系统和方法将检测由铅导体断裂，铅绝缘故障或连接器端口流体渗透引起的感测伪像的存在。 当这样的故障导致快速性心律失常的错误检测时，注意到感测伪像或噪声的存在，并避免高压电容器的充电和/或高压治疗的传递。 本发明的系统包括至少两对感测电极，其向脉冲发生器的感测和分析电路提供两个不同的电描记图信号。 分析每个信号的心率。 比较率，如果检测到的比率显着不同，则不向患者传递治疗。 感测电极对可以包括四个独立的电极，或者可以有一个与每个感测对共同的电极。 在替代实施例中，通过执行相关分析来比较两个信号。

公开(公告)号：US5071428A

公开(公告)日：1991-12-10

申请号：US656295

申请日：1991-02-15

申请人： Albert K. Chin ,  Thomas J. Fogarty ,  Eric S. Fain

发明人： Albert K. Chin ,  Thomas J. Fogarty ,  Eric S. Fain

IPC分类号： A61N1/05

CPC分类号： A61N1/0587 ,  A61B2017/06104

摘要： Intrapericardial access is provided by clamping the wall of the pericardium between elongate jaw elements carrying axially aligned tubular guides and passing a guide wire through the guides and the pericardial tissue therebetween. In the preferred embodiment the jaw elements include interengageable ratchets for holding the elements in clamping engagement with the wall of the pericardium and aligned pointed extensions for piercing the pericardial tissue clamped between the elements. Further intrapericardial access is provided by an additional tubular guide carried by the jaw element intended to be disposed in the pericardium during placement of the guide wire.

公开(公告)号：US08798762B2

公开(公告)日：2014-08-05

申请号：US13149608

申请日：2011-05-31

申请人： Eric S. Fain ,  Ronald R. Rios

发明人： Eric S. Fain ,  Ronald R. Rios

IPC分类号： A61N1/00 ,  A61N1/372

CPC分类号： A61B5/0015 ,  A61N1/37211

摘要： A communication device for an implantable medical device may include: an input/output interface configured to communicate with a wireless communication device; a communication interface configured to communicate with a remote system; and a processor configured to perform an analysis of data received from the wireless communication device via the input/output interface and associated with the implantable medical device. The communication device may include a user interface configured to receive data input by a user. A communication system may include a wireless communication device and the aforementioned communication device. A communication method for an implantable medical device may include: providing a communication device that is configured to communicate with a wireless communication device, to communicate with a remote system and to perform an analysis of data; communicating data associated with an implantable medical device from a wireless device to the communication device; and analyzing the received data at the communication device.

摘要翻译： 用于可植入医疗设备的通信设备可以包括：被配置为与无线通信设备进行通信的输入/输出接口; 通信接口，被配置为与远程系统通信; 以及处理器，被配置为经由所述输入/输出接口执行从所述无线通信设备接收的数据的分析并与所述可植入医疗设备相关联。 通信设备可以包括被配置为接收用户输入的数据的用户界面。 通信系统可以包括无线通信设备和上述通信设备。 用于可植入医疗设备的通信方法可以包括：提供被配置为与无线通信设备进行通信以与远程系统通信并且执行数据分析的通信设备; 将与可植入医疗设备相关联的数据从无线设备传送到通信设备; 以及在通信设备处分析接收到的数据。